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Surgical Endoscopy

, Volume 25, Issue 10, pp 3400–3404 | Cite as

Internal hernia after laparoscopic gastric resection with antecolic Roux-en-Y reconstruction for gastric cancer

  • Yoshinori Hosoya
  • Alan Lefor
  • Takashi Ui
  • Hidenori Haruta
  • Kentaro Kurashina
  • Shin Saito
  • Toru Zuiki
  • Naohiro Sata
  • Yoshikazu Yasuda
Article

Abstract

Background

To decrease the incidence of internal hernia after laparoscopic gastric bypass, current recommendations include closure of mesenteric defects. Laparoscopic gastric resection is used increasingly for the treatment of gastric cancer, but the incidence of internal hernia in the treated patients has not been studied.

Methods

This study retrospectively reviewed 173 patients who underwent laparoscopic resection for gastric cancer at one institution, including distal and total gastric resections with antecolic Roux-en-Y reconstruction.

Results

An internal hernia occurred in 4 (7%) of 58 patients whose jejunojejunal mesenteric defect was not closed a mean of 326 days after surgery. All the patients underwent reoperation with reduction and repair of the hernia. In 115 subsequent cases, with closure of the mesenteric defect, internal hernias did not occur (0/115 cases; p < 0.05).

Conclusion

Based on the current recommendations for patients undergoing bariatric surgery, closure of this potential hernia defect is mandatory after laparoscopic gastrectomy with a Roux-en-Y reconstruction for gastric cancer.

Keywords

Internal hernia Laparoscopic gastrectomy Laparoscopically assisted distal gastrectomy Laparoscopically assisted total gastrectomy Roux-en-Y reconstruction 

Notes

Disclosures

Drs. Yoshinori Hosoya, Alan Lefor, Takashi Ui, Hidenori Haruta, Kentaro Kurashina, Shin Saito, Toru Zuiki, Naohiro Sata, and Yoshikazu Yasuda have no conflicts of interest or financial ties to disclose.

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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Yoshinori Hosoya
    • 1
  • Alan Lefor
    • 1
  • Takashi Ui
    • 1
  • Hidenori Haruta
    • 1
  • Kentaro Kurashina
    • 1
  • Shin Saito
    • 1
  • Toru Zuiki
    • 1
  • Naohiro Sata
    • 1
  • Yoshikazu Yasuda
    • 1
  1. 1.Department of SurgeryJichi Medical UniversityTochigiJapan

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